Article1993

Use of the Structured Clinical Interview for DSM-IV Dissociative Disorders for systematic assessment of dissociative symptoms in posttraumatic stress disorder

J. Douglas Bremner · Marlene Steinberg · Dennis S. Charney

147 citations0/0 files storedAmerican Journal of Psychiatry

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Psychosomatic Disorders and Their Treatments

Abstract

OBJECTIVE: This study compared dissociative symptom areas in Vietnam combat veterans with posttraumatic stress disorder (PTSD) and in Vietnam combat veterans without PTSD. METHOD: The Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) was used to compare dissociative symptoms in 40 Vietnam combat veterans with PTSD and 15 Vietnam combat veterans without PTSD. The SCID-D yields a total score and scores in five symptom areas: amnesia, depersonalization, derealization, identity confusion, and identity alteration. RESULTS: The PTSD patients had more severe dissociative symptoms in each of the five symptom areas of the SCID-D and higher total symptom scores. Amnesia was the symptom area with the greatest difference in scores between the PTSD patients (mean = 3.68, SD = 0.73) and the non-PTSD veterans (mean = 1.06, SD = 0.26). CONCLUSIONS: The finding of higher levels of dissociative symptoms in Vietnam combat veterans with PTSD than in Vietnam veterans without PTSD is consistent with a level of dissociative symptoms in PTSD similar to that in dissociative disorders.

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References

1989Childhood trauma in borderline personality disorder 1992Dissociation and posttraumatic stress disorder in Vietnam combat veterans 1988Dissociation and hypnotizability in posttraumatic stress disorder 1970Massive Psychic Trauma 1963The vital balance 1965Persistent Stress Reaction After Combat 1985Posttraumatic stress disorder, hypnotizability, and imagery

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2008Contributions of Psychodynamic Approaches to Treatment of PTSD and Trauma: A Review of the Empirical Treatment and Psychopathology Literature 2009Dissociation in Borderline Personality Disorder: A Detailed Look 2006The Relationship Between Cognitive and Brain Changes in Posttraumatic Stress Disorder 2004Psychological Assessment of Adult Posttraumatic States: Phenomenology, Diagnosis, and Measurement 2009Length of Time Between Onset of Childhood Sexual Abuse and Emergence of Depression in a Young Adult Sample 1996Dissociation in aging Holocaust survivors 2006

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